The Practice of Cerebral CT at Abidjan: Advocacy for the Implementation of Guidelines - Open Access Library Journal

OALibJ > Vol.4 No.5, May 2017

The Practice of Cerebral CT at Abidjan: Advocacy for the Implementation of Guidelines ()

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DOI: 10.4236/oalib.1103569 1,416 Downloads 2,744 Views

Author(s)

N’goran Kouamé^*, Sorel Fotso Manewa, Anne Marie N’goan-Domoua, Roger Daniel N’gbesso

Affiliation(s)

Service de Radiologie, CHU de Yopougon, Abidjan, Ivory Coast.

ABSTRACT

Objectives: The aim of this study was to assess scanning activities at Yopougon University Hospital through its most common application that is the cranio-encephalic CT in order to make proposals for the improvement of its use. Patients and Methods: This was a three-year-cross-sectional study based on cranio-encephalic CT scans performed at Yopougon University Hospital from January 2011 to December 2013. All CT scans were performed on a TOSHIBA 64-bar scanner with or without injection of iodinated contrast agent. The variables studied were the epidemiological-clinical elements (age, gender and indications), the exploration technique, the overall results and the various pathologies discovered. Results: The mean age of our patients was 35.4 years with a predominance of children (age group of 0 and 14 years). The sex ratio was 1.38. Motor deficits (19.3%) and head trauma (17.5%) was the main indication of cranio-encephalic scanners. We performed 221 examinations without injection of iodinated contrast agent (36.8%) and 379 examinations with injection of iodinated contrast agent (63.2%). We recorded 298 normal findings and 302 pathological findings that are 49.7% and 50.3% respectively. Strokes were the predominant pathology found on the cranio-encephalic scanners (43.7%) followed by traumatic pathology (20.9%). Conclusion: The rate of normal findings for cranio-encephalic scanners was very high (49.7%). Pathological findings were dominated by strokes (43.7%) and traumatic pathology (20.9%). Infectious pathology was paradoxically rare (3%). A more rigorous prescription of cranio-encephalic scanners based on a well-conducted clinical examination and the guides of good use of imaging examinations (guidelines) could help to reduce the rate of normal scanner at Yopougon University Hospital.

KEYWORDS

Cranio-Encephalic CT Scan, Activity Assessment, Scanning Practice, Africa

Share and Cite:

Kouamé, N. , Manewa, S. , N’goan-Domoua, A. and N’gbesso, R. (2017) The Practice of Cerebral CT at Abidjan: Advocacy for the Implementation of Guidelines. Open Access Library Journal, 4, 1-12. doi: 10.4236/oalib.1103569.

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